Brent James Bullock, PMHNP, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

8695221-8900 Issued in UT

Practice address

1375 E 800 N
Orem, UT 84097-4435

Phone

(385) 382-1555

Fax

(877) 851-4180

NPI assigned

Dec 29, 2022

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Levo LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Draper, UT
  • NPI 1740865526

  Psychiatric/Mental Health, UT

  Medicare reassignment NPD
• Allred Psychological Services

  • Clinical Psychologist
  • Orem, UT
  • NPI 1720512270
  NPD
• Kelly Wosnik Inc

  • Clinic/Center
  • Orem, UT
  • NPI 1346549060
  NPD
• J&S Health Enterprises LLC

  • Multi-Specialty Clinic/Center
  • Orem, UT
  • NPI 1518689967
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brentb@am-ut.direct.office.nextgen.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2026.

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1649983198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E 800 N STE 202",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974437",
            "telephone_number": "385-382-1555",
            "fax_number": "877-851-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974435",
            "telephone_number": "385-382-1555",
            "fax_number": "877-851-4180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1688 N 210 E",
            "address_purpose": "LOCATION",
            "city": "Orem",
            "state": "UT",
            "postal_code": "840572203",
            "country_code": "US",
            "telephone_number": "385-233-7689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "BRENT",
        "middle_name": "JAMES",
        "credential": "PMHNP, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-29",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "8695221-8900",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8695221-3102",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "8695221-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Myung Wha Buck
• Madison C Bueno
• William Bunn, DO
• Darren Wayne Burdette, C.S.W.
• Kylie Marie Burdge, PHD
• Bridgett Renee Burgess
• Caitlyn Burke

• All providers in Orem, UT
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.